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Idaho rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.60 / $1,628.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $332.68 / $588.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.29 / $389.21 / $626.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.69 / $364.23 / $621.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.86 / $468.72 / $737.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $591.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.08 / $440.37 / $719.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.00 / $479.87 / $643.20